HomeMy WebLinkAboutGonsalves, TinaPUBLIC INTEGRITY DISCLOSURE REPORT
Name (Print last, first, middle initial) E-mail Address
Position/Title
Address
Work Phone Reporting Status
New Official
Annual
Update
If New Official, Date of Election or
Appointment:
(mm/dd/yy)
Reportable Information – Every official shall disclose each and all of his/her interests,
wherein he/she serves as a voting member of a board of directors of a non-profit entity without
compensation, as an attorney or accountant for such an entity who provides pro bono services,
or as the trustee of a charitable trust.
Organization:
(include the address, city and state where the the organization is located)
Type of organization: Position: No
longer
held:
1 Voting Board Member
Attorney
Accountant
2 Voting Board Member
Attorney
Accountant
3 Voting Board Member
Attorney
Accountant
4 Voting Board Member
Attorney
Accountant
5 Voting Board Member
Attorney
Accountant
6 Voting Board Member
Attorney
Accountant
Check here if additional pages attached.
Reportable Information – Every official shall disclose each and all of his/her rented or leased
interests in real property located in the City of Palm Springs. This disclosure shall include
leases executed with the Agua Caliente Band of Cahuilla Indians in relation to real property
that you own.
Property Address: Type of Property: Term of Rental
Agreement/
Lease:
No
longer
held:
1 Home/Residence
Business/Commercial
Investment/Other
2 Home/Residence
Business/Commercial
Investment/Other
3 Home/Residence
Business/Commercial
Investment/Other
4 Home/Residence
Business/Commercial
Investment/Other
5 Home/Residence
Business/Commercial
Investment/Other
6 Home/Residence
Business/Commercial
Investment/Other
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of Disclosing Party Date
On the basis of information contained in this report, I conclude that the filer is in compliance
with Palm Springs Municipal Code Section 2.60, except as noted in the “comments” box below.
Comments:
Signature and Title of Agency’s Final Reviewing Official
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